观察活血行气利水汤联合消胀散外敷治疗肝硬化腹水的可行性及有效性

To Observe the Feasibility and Effectiveness of Huoxue Xingqi Lishui Decoction combined with Xiaozhang Powder in the Treatment of Cirrhotic Ascites

目的分析活血行气利水汤联合消胀散外敷治疗肝硬化腹水的可行性及有效性。方法在我院于2017年5月至2020年5月收治的肝硬化腹水患者中,选取30例作为本次的研究对象,其中15例采用西药治疗的患者纳入对照组,另外15例采用活血行气利水汤联合消胀散外敷治疗的患者纳入研究组,对比两组患者的治疗有效率、肝功能指标变化情况、临床症状体征改善情况、不良反应发生情况以及症状改善时间。结果研究组患者的治疗有效率高于对照组(P<0.05),不良反应发生率低于对照组(P<0.05);与治疗前相比,两组患者的肝功能指标均得到了明显改善,且研究组患者的肝功能指标优于对照组(P<0.05);与对照组相比,研究组患者的临床症状体征改善程度优于对照组(P<0.05);研究组患者的症状改善时间短于对照组(P<0.05)。结论对肝硬化腹水患者采用活血行气利水汤联合消胀散外敷治疗,能有效改善患者的肝功能指标,改善患者的临床症状体征,效果显著,并且不良反应少,用药安全性高。

Objective To analyze the feasibility and effectiveness of Huoxue Xingqi Lishui Decoction combined with Xiaozhang Powder in the treatment of ascites due to cirrhosis.Methods Among the patients with liver cirrhosis and ascites admitted in our hospital from May 2017 to May 2020,30 cases were selected as the research objects.Among them,15 cases treated with western medicine were included in the control group,and the other 15 cases treated with Huoxue Xingqi Lishui Decoction and external application of Xiaozhang Powder were included in the study group.The effective rate of treatment,changes in liver function indexes,improvement of clinical symptoms and signs,and occurrence of adverse reactions were compared between the two groups.Results The effective rate of treatment in the study group was higher than that in the control group (P<0.05),and the incidence of adverse reactions was lower than that in the control group (P<0.05).Compared with the conditions before the treatment,the liver function index of the two groups was significantly improved,and the liver function index of the study group was better than that of the control group (P<0.05).The clinical symptoms and signs of the study group were better than those of the control group (P<0.05).The symptom improvement time of the study group was shorter than that of the control group (P<0.05).Conclusion For patients with liver cirrhosis and ascites,Huoxue Xingqi Lishui Decoction combined with external application of Xiaozhang Powder can effectively improve the liver function indexes of the patients,and improve the clinical symptoms and signs of the patients.The effect is significant,and the adverse reactions are few.